Weaver-Miller, Kristine A
Weaver-Miller, Kristine A is an individual health care provider with primary practice located at 811 Ainsworth Dr Ste 109 , Prescott AZ 86301. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Weaver-Miller, Kristine A can be contacted via phone (928) 771-5595.Contact Information
Primary practice address
811 Ainsworth Dr Ste 109
Prescott AZ 86301
Phone: (928) 771-5595
Fax: (928) 771-5596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 5179956-1205 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 3135 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4309 | Arizona |
Profile Details
| NPI number | 1962459040 |
|---|---|
| LBN Legal business name | Weaver-Miller, Kristine A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Nov 5th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962459040 | NPPES |
| Colorado | MEDICAID | 79221513 | |
| Colorado | MEDICAID | D0968 | |
| Colorado | Other | 021673 | |
| Colorado | MEDICAID | 813847 |
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